scholarly journals Takotsubo cardiomyopathy: diagnosis in an emergency department

2014 ◽  
Vol 10 (1) ◽  
Author(s):  
Marina Mancini ◽  
Davide Bartolini ◽  
Mauro Zanna
Keyword(s):  
Emergency Department ◽  
Takotsubo Cardiomyopathy

scholarly journals Takotsubo Cardiomyopathy and Catatonia in the Setting of Benzodiazepine Withdrawal

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Teng J. Peng ◽  
Nicholas D. Patchett ◽  
Sheilah A. Bernard
Keyword(s):  
Emergency Department ◽  
Takotsubo Cardiomyopathy ◽  
Aminobutyric Acid ◽  
Single Patient ◽  
Cardiac Enzymes ◽  
T Wave ◽  
Daily Dose ◽  
Benzodiazepine Withdrawal ◽  
Sudden Decrease ◽  
Careful History

We report two serious and unusual complications of benzodiazepine withdrawal in a single patient: takotsubo cardiomyopathy and catatonia. This 61-year-old female patient was brought to the emergency department with lethargy and within hours had declined into a state of catatonia. Although there was never a complaint of chest pain, ECG showed deep anterior T-wave inversions and cardiac enzymes were elevated. An echocardiogram was consistent with takotsubo cardiomyopathy. She later received 1 mg of midazolam and within minutes had resolution of catatonic symptoms. Careful history revealed that she had omitted her daily dose of lorazepam for 3 days prior to admission. To our knowledge, the case presented herein is the first report of simultaneous catatonia and takotsubo cardiomyopathy in the setting of benzodiazepine withdrawal. The pathogenesis of both conditions is poorly understood but may be indirectly related to the sudden decrease inγ-aminobutyric acid (GABA) signaling during benzodiazepine withdrawal.

scholarly journals Takotsubo Cardiomyopathy and Psychiatric Illness: Redefining the Relationship

2016 ◽  
Vol 5 ◽  
Author(s):  
Hannah Masoud
Keyword(s):  
Emergency Department ◽  
Takotsubo Cardiomyopathy ◽  
Psychiatric Illness ◽  
Panic Attacks ◽  
Shortness Of Breath ◽  
Model Of Care ◽  
Coronary Syndrome ◽  
Relationship Of ◽  
Anxiety Depression ◽  
The Relationship

Physicians who encounter patients in the emergency department with chest pain, palpitations, or shortness of breath may often find it difficult to differentiate diagnosis of panic attacks from acute coronary syndrome or Takotsubo Cardiomyopathy. Redefining and understanding the pathophysiological relationship of psychiatric illness including anxiety, depression, or panic attacks and Takotsubo Cardiomyopathy may help clinicians implement a more effective and beneficial model of care for this affliction that is being found to be increasingly more common in today’s age.

scholarly journals Takotsubo Cardiomyopathy in the Emergency Department: A FOCUS Heart Breaker

2018 ◽  
Vol 2 (2) ◽  
pp. 158-162 ◽  
Author(s):  
Kristin Meigh ◽  
Madison Caja ◽  
Melinda Sharon ◽  
Allison Tadros ◽  
Shane Dragan ◽  
...  
Keyword(s):  
Emergency Department ◽  
Takotsubo Cardiomyopathy

scholarly journals Takotsubo cardiomyopathy triggered by wasabi consumption: can sushi break your heart?

2019 ◽  
Vol 12 (9) ◽  
pp. e230065
Author(s):  
Alona Finkel-Oron ◽  
Judith Olchowski ◽  
Alan Jotkowitz ◽  
Leonid Barski
Keyword(s):  
Myocardial Infarction ◽  
Emergency Department ◽  
Chest Pain ◽  
Left Ventricular Dysfunction ◽  
Takotsubo Cardiomyopathy ◽  
Ventricular Dysfunction ◽  
Physical Stress ◽  
Left Ventricular ◽  
First Report

Takotsubo cardiomyopathy is a left ventricular dysfunction that typically occurs after sudden intense emotional or physical stress and mimics myocardial infarction. We describe a case of a 60-year-old woman that presented to the emergency department with chest pain after she attended a wedding and ate a large amount of wasabi, assuming it to be an avocado. To the best of our knowledge, this is the first report of takotsubo cardiomyopathy triggered by wasabi consumption.

scholarly journals Extra-adrenal pheochromocytoma presenting as inverse takotsubo-pattern cardiomyopathy treated with surgical resection

2018 ◽  
Vol 11 (1) ◽  
pp. e226384 ◽  
Author(s):  
Shima Tafreshi ◽  
Syed Yaseen Naqvi ◽  
Sabu Thomas
Keyword(s):  
Emergency Department ◽  
Surgical Resection ◽  
Takotsubo Cardiomyopathy ◽  
Sympathetic Ganglia ◽  
Left Ventricular ◽  
Troponin Level ◽  
Coronary Angiogram ◽  
Alpha Blockers ◽  
Her Family ◽  
Adrenal Pheochromocytoma

Pheochromocytoma is a rare catecholamine-secreting tumour that is typically located in the adrenal medulla or along the sympathetic ganglia. The typical symptoms are episodic in nature and include tachycardia, sweating and headache. These tumours can present as transient, reversible cardiomyopathy similar to takotsubo cardiomyopathy (TCM). TCM is characterised by transient hypokinesis of the left ventricular apex and is typically induced by emotional stress. We describe the case of a 26-year-old woman with a medical history significant for headaches who presented initially to her family physician with nausea, vomiting, headache and hypertension. She was started on lisinopril 10 mg daily. One week later, she presented to the emergency department with substernal severe chest pressure. Her troponin level was elevated. Coronary angiogram showed normal coronary arteries and left ventriculogram showed inverse TCM pattern. Serum catecholamines were very elevated confirming pheochromocytoma. She was successfully treated with alpha-blockers followed by surgical resection.

A Case Report of Takotsubo Cardiomyopathy in the Emergency Department

2007 ◽  
Vol 14 (4) ◽  
pp. e93-e94
Author(s):  
H.-N. Joao ◽  
C. F. Thiago ◽  
O.-N. Patricia ◽  
M. J. Carlos
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Takotsubo Cardiomyopathy
Sign in / Sign up

Export Citation Format

Share Document